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public health
Trump’s Budget Cuts Will Only Make Things Worse for Struggling Rural Hospitals
The budget bill will put enormous strain on rural hospitals, which are often the largest local employer in addition to crucial care providers.
Sep 14, 2025
Bari Senecal waits outside the emergency department at Columbia Memorial Hospital in Hudson, New York. “I do construction. I fell three stories,” Senecal explains. “I was on top of the scaffold and this new kid we hired didn’t put the braces on correctly.”
Like 70 million Americans, Senecal qualifies for Medicaid, the state and federally-funded public health insurance program for low-income patients. She also qualifies for Medicare. She’s what’s known as being “dual-eligible.”
At Columbia Memorial, 63% of patient service revenue is reimbursed through a combination of the two programs. But “we run a deficit every year,” says Dorothy Urschel, CEO of Columbia Memorial Health. “For many, many years, we’ve been reimbursed at well below cost.”
The hospital has the only emergency room serving the more than 110,000 residents scattered among two predominately rural counties. “Of course, we’re struggling,” says Urschel. “But rural community hospitals always struggle.”
Columbia Memorial already closed its maternity ward in 2020—part of a distressingly common trend. A recent study from the Journal of the American Medical Association found that more than half of rural counties now have no hospital-based obstetric services whatsoever.
Like other rural hospitals across the country, Columbia Memorial is bracing for the loss of Medicaid-covered patients and funding because of the Republican reconciliation bill, dubbed the “One Big Beautiful Bill Act,” which was signed by US President Donald Trump this summer.
Over the last decade more than 100 rural hospitals have closed across the country—50 of them in just the last eight years.
According to the nonpartisan Congressional Budget Office, the bill will cut $911 billion in federal Medicaid spending over the next decade and result in an estimated 10.3 million people losing their Medicaid health insurance. Add in cuts to the Affordable Care Act and the number of people expected to lose their insurance rises to 16 million.
According to Larry Levitt, vice president for health policy at the Kaiser Family Foundation, this amounts to “the biggest rollback in federal support for health coverage ever.” And it will put enormous strain on rural hospitals especially—which in Columbia County and elsewhere are often the largest local employer in addition to crucial care providers.
The GOP staggered these cuts so that the worst effects of the budget changes won’t be felt until after the midterm elections in 2026 are safely past. But “some rural hospitals around the country have already started closing” in anticipation of the cuts, warns Michael Chameides, a member of the Columbia County Board of Supervisors.
Senator Ed Markey (D-Mass.) provided a list of 338 rural hospitals in danger of either closing or drastically scaling back services. All 338 had experienced three consecutive years of negative total profit margins and were in the top 10% of institutions with patients on Medicaid.
Rural hospitals facing disaster are identified individually according to which state will see the losses. Kentucky, Louisiana, and California top the list with 35, 33, and 28 rural hospitals identified as at risk of closure, respectively. New York has 11. (Columbia Memorial isn’t officially one of them, but Garnet Medical Health Center Catskills, another Hudson Valley hospital, is.)
An estimated 1,796 hospitals remain in rural America, but those numbers obscure the level at which the services they offer may have already contracted. According to the Government Accountability Office, over the last decade more than 100 rural hospitals have closed across the country—50 of them in just the last eight years.
In New York and every other state, as federal funding runs dry it will be up to the governor and legislature to make provisions for struggling rural hospitals—or stand by and watch them collapse.
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RFK Jr.'s Vaccine Panel May Restrict Covid-19 Shots for Those Under 75, Citing Unverified Death Reports
"They are leveraging this platform to share untruths about vaccines to scare people," said one doctor Kennedy fired from the panel.
Sep 13, 2025
Health officials working under Secretary of Health and Human Services Robert F. Kennedy Jr. may seek to restrict access to the Covid-19 vaccine for people under 75 years old.
The Washington Post reported Friday that the officials plan to justify the move by citing reports from an unverified database to make the claim that the shots caused the deaths of 25 children.
The reports come from the Vaccine Adverse Event Reporting System (VAERS), a federal database that allows the public to submit reports of negative reactions to vaccines. As the Post explains, VAERS "contains unverified reports of side effects or bad experiences with vaccines submitted by anyone, including patients, doctors, pharmacists, or even someone who sees a report on social media."
As one publicly maintained database of "Batshit Crazy VAERS Adverse Events" found, users have reported deaths and injuries resulting from gunshot wounds, malaria, drug overdoses, and countless other unrelated causes as possible cases of vaccine injury.
As Beth Mole wrote for ARS Technica, "The reports are completely unverified upon submission, and the Centers for Disease Control and Prevention staff follow up on serious reports to try to substantiate claims and assess if they were actually caused by a vaccine. They rarely are."
Nevertheless, HHS officials plan to use these VAERS reports on pediatric deaths in a presentation to the CDC's Advisory Committee on Immunization Practices (ACIP) next week as the panel considers revising federal vaccine guidelines.
One person familiar with the matter told the Post that HHS officials attempted to interview some of the families who claimed their child died from the vaccine, but it is unclear how many were consulted and what other information was used to verify their claims.
In June, Kennedy purged that panel of many top vaccine experts, replacing them with prominent anti-vaccine activists, after previously promising during his confirmation hearing to keep the panel intact.
The Food and Drug Administration under Kennedy has already limited access to the Covid-19 vaccine. Last month, it authorized the vaccines only for those 65 and over who are known to be at risk of serious illness from Covid-19 infections.
While the vaccine is technically available to others, the updated guidance has created significant barriers, such as the potential requirement of a doctor's prescription and out-of-pocket payment, making it much harder for many to receive the shot.
The Post reports that ACIP is considering restricting access to the vaccination further, by recommending it only for those older than 75. It is weighing multiple options for those 74 and younger—potentially requiring them to consult with their doctor first, or not recommending it at all unless they have a preexisting condition.
Prior to the wide availability of Covid-19 vaccinations beginning in 2021, the illness killed over 350,000 people in the US. And while the danger of death from Covid-19 does increase with age, CDC data shows that from 2020 to 2023, nearly 47% of the over 1.1 million deaths from the illness occurred in people under 75.
According to the World Health Organization, the US reported 822 deaths from Covid over a 28-day period in July and August this year, vastly more deaths than anywhere else in the world. CDC data reported to ACIP in June shows that Covid deaths were lower among all age groups—including children—who received the mRNA vaccine.
Nicole Brewer, one of the vaccine advisers eliminated by Kennedy, lamented that Kennedy and his new appointees are ignoring the dangers of Covid-19 while amplifying the comparatively much lower risk posed by vaccines.
"They are leveraging this platform to share untruths about vaccines to scare people," she told the Post. “The U.S. government is now in the business of vaccine misinformation.”
ACIP is also reportedly mulling the rollback of guidelines for other childhood vaccines for deadly diseases like measles, Hepatitis B, and Respiratory Syncytial Virus (RSV).
While ACIP's guidelines are not legally binding, the Post writes that its meeting next week "is critical because the recommendations determine whether insurers must pay for the immunizations, pharmacies can administer them, and doctors are willing to offer them."
"If you haven't gotten your updated Covid vaccine by now, book an appointment fast before next week's ACIP meeting," warned Dr. David Gorski, the editor of the blog Science-Based Medicine. "After that, you might not be able to get one."
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Trump's MAHA Report Reads Like a Big Ag Wish List
Making Americans healthy will require confronting the very corporate polluters who got us in this mess—not capitulating to more of their demands.
Sep 13, 2025
US President Donald Trump’s “Make America Healthy Again” ploy is more sinister than we have been led to believe. More than disingenuous lip service to a legitimately concerned—and powerful—voting bloc, Trump’s MAHA is a dangerous smokescreen designed to consolidate power with the corporations responsible for harming us all. The release of the White House MAHA Commission strategy report this week put this on full display.
The report, written by a commission chaired by Health and Human Services (HHS) Secretary Robert F. Kennedy Jr., is designed to convey the Trump administration’s priorities on food and childhood chronic disease. In truth, its deregulatory proposals read like an agriculture industry wish list—Big Ag corporations and trade groups were among the few voices of support.
Making Americans healthy will require confronting the very corporate polluters who got us in this mess—not capitulating to more of their demands. Trump is doing just the opposite, letting some of the nation’s biggest corporations off the hook: pesticide manufacturers, livestock producers, and big chemical companies.
The MAHA Commission report is most notable for what it lacks, including any recommendations to regulate toxic pesticides. An abundance of research links these ubiquitous agricultural chemicals to everything from cancers and Parkinson’s disease, to birth defects and developmental disorders.
In May, Kennedy’s team identified concerns about children’s exposure to pesticides. The backlash from food and farm industry groups was swift. The administration consequently hosted a parade of industry groups including CropLife America, Walmart, and Coca-Cola. In fact, Kennedy testified in a recent Senate hearing that he had entertained 140 farm interest groups since May.
In keeping with White House promises to industry lobbyists, the MAHA strategy report lacks any mention of concern for pesticide exposure, parrots pesticide industry talking points, and pulls punches on pesticide regulation. It even promotes the Environmental Protection Agency’s (EPA) pesticide review process as robust and sufficient, which couldn’t be further from the truth. This review process has routinely been proven vulnerable to corporate influence.
This report is yet another step in Trump’s dangerous deregulatory agenda that will make America very, very sick.
This unwillingness to tackle toxic pesticides goes directly against the demands of voters and Kennedy’s own promises: Fully 71% of Democrats and 66% of Republicans support increasing restrictions on the use of pesticides in agriculture.
Meanwhile, Trump’s congressional allies are plotting with pesticide corporations to hamper EPA's ability to better regulate these toxic chemicals and shield pesticide manufacturers from health related lawsuits.
Food & Water Watch research catalogues the multimillion dollar push to pass Cancer Gag Acts in statehouses and Congress. Bayer has spent over $11 billion settling more than 100,000 cancer lawsuits related to its Roundup pesticide, whose key ingredient glyphosate the World Health Organization defines as a probable carcinogen. The federal Cancer Gag Act, expected to be reintroduced this fall as the “Agricultural Labeling Uniformity Act,” is reportedly a House Farm Bill priority; House Republicans included related language in a July appropriations vote to prevent EPA from improving pesticide warning labels.
In another capitulation to industry, the MAHA strategy report also fails to address factory farms’ public health impacts. America has become a factory farming nation, with these industrial animal warehouses pockmarking rural communities from coast to coast. These facilities are often sited right next to homes and schools, releasing a cocktail of dangerous air pollution, including particulate matter, ammonia, and hydrogen sulfide. These pollutants are linked to asthma and respiratory disease that gravely impact children’s health.
HHS agencies like the National Institute for Occupational Safety and Health (NIOSH) have the authority to study this pollution and recommend enforceable exposure limits for hazardous air emissions. This would help force factory farms to clean up their act and protect communities from dangerous health impacts. Any report serious about improving children's health must embrace these reforms.
Factory farms are also known drinking water polluters. Food & Water Watch analysis finds that factory farms produce a whopping 941 billion pounds of untreated waste annually. Much of it finds its way into the water we drink, carrying pharmaceuticals, antibiotics, E. coli bacteria, nitrates, and more into drinking water. These pollutants are linked to everything from cancers to antibiotic resistance. Faced with industry pressure, the MAHA report recommends weakening EPA’s already lax regulation of factory farm waste. Congressional Republicans have also introduced dangerous legislation to further deregulate the sector.
In yet another giveaway, the MAHA strategy report fails to adequately address the crisis that Per- and Polyfluoroalkyl (PFAS) contamination is wreaking on our health. These lab-made “forever chemicals,” found in drinking water nationwide, are linked to a large range of health problems including various cancers, altered hormone levels, decreased birth weights, digestive inflammation, and reduced vaccine response.
A full 97% of US residents have PFAS in their blood. Even still, the report makes only a passing mention of this rampant health concern, while simultaneously disregarding the Trump administration’s plan to gut recently-established common-sense PFAS drinking water safety rules. Food & Water Watch research tracks the tens of millions of dollars chemical corporations have spent on a campaign to conceal the health concerns of these forever chemicals—a concealment in which it appears the MAHA Commission is complicit.
The MAHA strategy report is, at best, a reckless industry giveaway. But a close reading belies the truth: This report is yet another step in Trump’s dangerous deregulatory agenda that will make America very, very sick. Trump’s budget cuts, which have gutted food safety oversight and closed food safety labs, stand in stark contrast to the few report takeaways where we agree. Take food chemicals and ultra processed foods for example.
Food & Water Watch has repeatedly called for overhaul of the federal Generally Recognized as Safe Loophole (GRAS) loophole—this report is right to endorse that reform. For years, food companies have self policed which chemicals make it into the food we eat, through this Food and Drug Administration (FDA) loophole. Today, hundreds if not thousands of chemicals are in our food because of this lack of oversight.
Food chemicals like titanium dioxide, potassium bromate, certain food dyes, and meat curing agents are part of a long list of chemicals that advocacy groups have been watching for years enter our food system. Critically, many of these chemicals are banned in other countries, yet still exist today on America’s grocery shelves.
It’s hard to believe Trump is serious about GRAS reform, when he’s busy gutting the very agency that would carry it out. His elimination of 3,500 FDA staff will leave the agency hamstrung, unable to implement even the few positive aspects of the MAHA strategy report.
Ultimately, the White House’s MAHA strategy will only deepen America’s industrial agriculture-driven health crisis. Any administration serious about public health must strictly regulate the corporations putting our food and water supplies at risk. Instead, Trump appears poised to do the very opposite.
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